Category: Medical


Donate a Smile :-

This is a video for a project called Donate a Smile which was brilliantly created by Ibrahim Khayat, Asma’a Mohurji and Ahad Yamani, all of which are medical students at King Abdulaziz University, Faculty of Medicine. It will be played in the closing ceremony of the 7th Scientific Conference for Medical Students in the GCC Countries.

This video features smiles from different faces in KAU Hospital including students, doctors and professors, nurses and ancillary staff.

I hope it makes you smile just like it made me. Kudos for an amazing job.

PS. I’m not featured in the video because I was at NYC at the time :(

“ما هي الأوضاع هناك؟ أصحيح ما سمعت؟ هل المستشفى تغرق؟”

أسأل صديقي المتواجد في مستشفى جامعة الملك عبد العزيز يوم الأربعاء الأسود كما اصطلح على تسميته الكثيرون – يوم سيول جدة التي ذهب ضحيتها أكثر من مائة شخص كما تقول التقديرات الرسمية والمئات كما تقول التقديرات الميدانية من قبل المتطوعين والقانطين في الأحياء المتضررة .

“البدروم غرق بالكامل وغرقت معه المختبرات المختلفة ، قسم الأشعة بأجهزته ، بنك الدم ، الملفات الطبية وغيرها العديد من الاقسام . المياه تتسرب من السقف كأنه طوفان والوضع مخيف جداً.”

“هل باستطاعتي المساعدة؟ هل أستطيع الوصول إلى المستشفى؟ ماذا تفعلون؟”

“نحن نقوم بتغطية الجثث فقط . الطوارئ مغلقة ولا نستطيغ استقبال الحالات ونحن بصدد إخراج جميع المرضى ذوي الحالات المستقرة . يخبروننا أن المستشفى ستقوم بإخلاء كامل . ليس هناك ما تفعله هنا والوصول جداً صعب .”

أغلق الهاتف وأنا متوتر . أكره الشعور بعدم القدرة . أشعر أني ضعيف ومعدوم الحيلة . أمضي باقي اللية وأنا على شبكة الانترنت أقرأ التقارير ، أشاهد الصور واليوتوب ، أتحدث مع أصدقائي وأنا في حالة ذهول تامة . أحقاً هذا يحصل ؟

أذهب يوم الجمعة إلى المستشفى لأغطي مناوبتي في قسم الأطفال . تبدو المستشفى مهجورة . تم إفراغها من المياه وبقي القليل في البدروم فقط . بنك الدم يعمل؟ مفاجأة جميلة لكن لا شيء آخر بعد . عدد المرضى تقلص جداً ما يقارب العشرين . باقي الأقسام بها أعداد أقل وتعد على اصابع اليد الواحدة ربما .

العناية المركزة لحديثي الولادة عملي اليوم . هناك أطفال في حالة حرجة . ماذا عن التحاليل؟ نعطي عينات الدم للأهالي ليقوموا بأخذها إلى مستشفى عرفان والعودة بالنتائج . تأتي الاستشارية لترى جميع المرضى – د. مها با محرز – استشارية الأطفال حديثي الولادة -وأكبر فيها هذا العمل لأنني لم أتعود أن أرى كثيراً من الأطباء الاستشاريين يأتون إلى المستشفى في الإجازة وإن كانوا هم المناوبون رسمياً. دع من ذلك أن الكارثة كانت قبل يومين فقط واليوم جمعة بالإضافة إلى أنه أول يوم من عيد الحج . بأي حال أتيت يا عيد .

أرى د. عمر سعادة استشاري الجهاز الهضمي للأطفال وهو المناوب في العنبر يقوم بالمرور على المرضى وأجد على وجهي ابتسامة . ما زال هناك بعض “الكبارية” كما نسميهم يهتمون .

المستشفى ليس بها أجهزة تكييف وليس بها مياه . ماذا يجب أن نفعل ؟ الوضع لا يطاق رغم أن ليس هناك الكثير من العمل لأن عدد المرضى قليل .

تلقينا بالبارحة رسائل تحذرنا من الأمطار هذا اليوم إلى يوم الأحد. في وقت الظهرية بدأت الأمطار بالتساقط زخات قليلة سرعان ما أصبحت قوية وبدأت الممرضات بالتوتر مع الطبيب الأخصائي المناوب معي . 10 دقائق ويتوقف المطر ونتنفس الصعداء .

أرى طبيبتي الامتياز معي ويخبرونني أنهم يريدون الانصراف باكراً لأنه ليس هناك الكثير من العمل ولأنهما خائفتين . وإن انصرفتوا أنتم وغيركم كم يبقى في المستشفى من أطباء إن حدثت كارثة أخرى لا سمح الله . أظن أنه لم يكن في المستشفى أكثر من 20 طبيب ذلك اليوم من جميع التخصصات .

ليلة هادئة غير حافلة بالأحداث .

أذهب في اليوم التالي إلى مركز الحارثي “أرض المعارض” في طريق المدينة وأنبهر بعدد المتطوعين الموجودين هناك . أرى بعض الوجوه المالوفة والجميع في عمل كل بهمة يريد أن يساعد . الكل يحضر التبرعات المادية والعينية لمساعدة المتضررين . ربما نحن كمدينة لسنا متجزئين ولا منفصلين كما يصوروننا أحياناً .

بعض المظاهر السلبية هنا وهناك من شباب لا يرى من التطوع إلا تطوعه بوقته الخاص لتسلية الفتيات المتطوعات . لكنها ظاهرة نادرة . بعض من عدم التنظيم والتشتت في العمل لكن عرفت لاحقاً أن الأمور تحسنت تنظيمياً .

أرى المتطوعين يقومون بفرز وتحميل المواد وأرى أن هذا العمل لا يناسبني . ليس تكبراً حاشا لله لكنني طبيب وفي رأي الخاص أستطيع أن أكون أكثر نفعاً في مكان آخر . لا بد أن الأمراض سنتنشر ومن المؤكد أن الكثيرين أضاعوا أدويتهم مع السيول . كيف باستطاعتنا أن نساعدهم طبياً ؟

أمضي اجازة العيد في درة العروس وأكتسب سمرة مشوبة بالذنب . الناس هنا في قمة السعادة وأنا أيضاً سعيد لكن في مؤخرة رأسي أفكار تتمحور حول هؤلاء الضحايا . أبرر لنفسي وقتها بأن الوضع ما زال خطيراً هناك وليس بامكاننا كأطباء الذهاب هناك بعد . تحرجني معرفة أن هناك العيدد من الشباب والشابات في الميدان وأنا هنا وتقوم بتشتيت ضبابة التعليل التي أختبئ تحتها .

تبدأ الدعوات إلى التطوع الطبي تنتشر وأسجل فيها لكن لا أخبار بعد . يقوم العديد من طلاب كلية الطب والأطباء بعمل حصر ميداني للأضرار بالتعاون من المتطوعين الشباب وكنا ننتظر النتائج .

د. ماويا خفاجي – طبيبة استشارية في مستشفى الجامعة (معلومة لست متأكداً منها)-  تقوم بنتظيم الحملة مبكراً مشكورة تحت مظلة جمعية أصدقاء الدعوة وبمساعدة وزارة الصحة إشرافياً .

مع عودة الدراسة قمنا بالنزول إلى الميدان لنقدم المعونات والخدمات الطبية . د. ريدان اليازي – معيدة بقسم الأطفال بمستشفى الجامعة – تقوم بتنظيم الجهود التطوعية لطلاب وأطباء كلية الطب عن طريق جميعة زمزم للخدمات الصحية التطوعية وفريق الأيدي المتحدة . د. ريدان من الأشخاص الذين أسعد وأفخر بمعرفتهم من زمن بعيد . تلاقينا قبل أكثر من 3 سنوات عن طريق فريق الأيدي المتحدة التطوعي لمساعدة المرضى المحتاجين التي كانت هي من مؤسسيه .

د. داليا زغابة – معيدة أخرى بقسم الأطفال – تقوم بتنظيم آخر للحملة تحت وزارة الصحة مع د. ماويا ويقومون بتغطية مناطق أخرى . أشعر بالفخر أيضاً لعملها أنا من لم يعمل شيئاً بعد .

نذهب في أول يوم إلى كيلو 14 ونقوم بإنشاء عيادة بدائية في مدرسة قديمة بالتعاون مع إمام المسجد هناك وبعض الأهالي الذين قامو بالتنظيف وإبلاغ الآخرين .

لكم أود أن أذكر أسماء جميع من ذهبوا معنا في اليوم الأول والايام التالية لكن هذا سيأخذ مساحة كبيرة وأيضاً أخاف أن أنسى اسماً يستحق أن يذكر .

لكن يجب أن أذكر عثمان رضوي – طالب طب بالسنة الخامسة – شخص نشعر جميعنا بالاطمئنان على مستقبل الكلية والمدينة بوجوده ووجود أمثاله . قام بجهد عظيم في تنسيق هذه الزيارة وغيرها أيضاً وكان من أوائل من نزلوا إلى المناطق المتضررة . شكراً لك اقل ما يمكن أن يقال . أنت من قدواتي وليس فرق العمر بيننا إلا تذكير بتقصيري .

كيف كان الموقع تسألون؟ لو كنا في دولة افريقية فقيرة وسقطت قنبلة في هذه الدولة لما كان الأثر هكذا مأساوياً أو ربما هذا تصوري القاصر فقط . بحيرات من المياه ما زالت موجودة . سيارات عديدة مقلوبة ومحطمة . منازل عديدة منهارة . رائحة موت لا تطاق . الجو مليئ بالغبار الذي يؤذي العين . السكان يقومون بالتهافت على المؤونات والمساعدات بطريقة تدمي القلب .

في اكثر من 3 ساعات بقليل قمنا بمعاينة أكثرمن 120 مريض من جميع الأعمار والجنسيات والقصص . وزارة الصحة فامت بتزيدنا بالكثير من المعونات التي استهلكناها في هذا اليوم . الناس لا يصدقون وجودنا وعندما اقترب وقت الرحيل يريدون أن يقتحموا المكان بالقوة . ما ذنبهم؟ يريدون طبيباً لكن ليس آمناً أن نظل عند غروب الشمس . عدة حالات حرجة نراها في أول يوم ولا نعرف كيف نتصرف . ننصحهم بالذهاب إلى المستشفى وندعوا أن يذهبوا .

أعود إلى مستشفى الجامعة وأرى د. نورة الخثلان ،  د. وسيم انشاصي ، د. ضحى الأموي – استشاريي الأطفال  – في اجتماع مصغر يتناقشون الوضع هناك وكيف باستطاعتهم المساعدة . يقومون بدعوتي للجلوس معهم لأصف ماذا رأينا وماذا فعلنا وكيف بإمكاننا تفعيل العمل هناك وجعله مثمراً أكثر .

أشعر بالتعب والانهيار عندما أعود غلى البيت لكني أنام بابتسامة كبيرة .

واجهت مقاومة كبيرة لذهابي من قبل العديدين من أصدقاء مقربين ومن عائلتي. والدي ووالدتي يعرفون أنني ذاهب ذاهب لذا لا يمنعونني بل يقومون بالدعوة لي والخوف علي . كل يقول دع الآخرين يذهبون . وإن لم يذهب الآخرون من يبقى لهؤلاء الضحايا؟

“ربنا لطيف خبير” يقولون . عار علينا نحن إن تركناهم . ربنا لطيف خبير ومن لطفه وخبره أن سخر لهؤلاء اشخاصاً يريدون مساعدتهم .

في يوم الاثنين في الاجتماع الاسبوعي لقسم الأطفال تقوم د. ماويا ود, نورة بالتحدث معنا جميعنا ، استشاريين وأطباء وطلاب ويطلبون منا التطوع . يطلبون منا مساعدتهم .

د. نورة تتكلم من قلبها وأشعر بالتأثر . قليل هم من الاستشاريين الذين يهتمون بهكذا حدث . تقوم بذكر نقطة مهمة وهي أن من يبقى في المستشفى هم متطوعون لأن وجودهم يسمح لنا بالذهاب إلى الميدان . يزداد الضغط عليهم في المستشفى لكنهم سعيدون ولا يمانعون . د. عائشة الفرحان طبيبة الامتياز معي تقوم بعملي كل يوم لأسبوع وأنا هناك في قويزة وكيلو 14 . جزيل شكري لها .

د. جميلة قاري رئيسة القسم تراني ذاك اليوم وستألني لم لست هناك؟ أخبرها أننا ذاهب في غضون ساعة . انسانة في قمة الذوق والأخلاق . من أمثالي العليا في الحياة هي . سهلت ذهاب الأطباء من دون اذن رسمي من الجامعة بالتوافق مع د. نورة التي هي أيضاً رئيسة برنامج التدريب بالقسم .

يمر الأسبوع كالبرق . في يوم الخميس تأتي معي زوجتي وقرة عيني د. نبراس أبو الحمايل . سبب آخر يضاف إلى أسباب حبي لها . تشعر بالضيق أنها لم تستطع القدوم قبل ذلك لعدة عوائق لكن أهم ما في الأمر وجودها ذلك اليوم .

عدد الطالبات والطبيبات المتطوعات يوازي عدد الطلاب والأطباء إن لم يكن أكثر هذا وهم يواجهون الكثير من الموانع لوجودهم في هكذا أماكن . شيء يدعو للفخر . بعضهن يأتين بسيارات أجرة إلى مواقع العيادات للتطوع والرجال أصحاب السيارات يخافون على سياراتهم فلا يأتون أو هكذا يبدو .

لم تكن الصورة وردية دائماً . ليس كل الناس يحبون التطوع . بعد الاستشاريين يرفضون ذهاب أطباء الامتياز والطلاب للتطوع ويقومون بتغييبهم ومحاسبتهم رغم أنه ليست هناك أي حاجة لوجودهم . وقاحة هذه هي في كتابي .

بعض الطلاب والأطباء يقوون على الفور بنبذ الفكرة عندما تسأله أتريد الذهاب معنا إلى كيلو 14 أو قويزة؟ ذكر هذه الأماكن يجعلهم يشعرون بالانزعاج لسبب لا أعرفه . “أنا مالي … اذهبوا أنت لوحدكم” معيد بقسم جراحي قالها في وجهي بكل صفاقة . “أأنتم أغبياء؟ تذهبون هكذا من دون حوافز؟” طبيب امتياز قالها .

“أهناك شهادات؟ أهناك حوافز مالية؟ هل ستعطوننا إجازات بعدها؟ هل أستطيع التسجيل وعدم الحضور؟”

ردود عديدة سلبية سمعتها من جميع الأشخاص بعضهم متوقعة وبعضهم لا . وعندما تسالهم لم دخلت الطب؟ “لأني أريد مساعدة الناس” هو جوابهم الجاهز . لقد احتاجوك الناس ولم تأت .

لم أذهب هذا الاسبوع لانشغالي بأمور عديدة لكن فكري معهم . د. ريدان ود. داليا ما زالوا يقومون بالذهاب ومهم الكثيرون من الأمثلة المشرفة لوطني . لا أظن أن سأذهب ثانية لأسباب شخصية لكني سعيد أني قمت بالمساعدة وإن كانت صغيرة لكن “لا تحقرن من المعروف شيئاً”

لم قمت بكتابة هذا كله؟ لا أعرف حقاً. هي كارثة ومصيبة أصابت مدينتي وشعرت بها بكل ثقلها وتبعاتها . ربما وأتمنى أن لا تحصل كارقة كهذه أخرى . هذا فقط تسجيل للتاريخ لنعرف أنه وإن كانت هناك بعض ذرات التراب … إلا أن الثوب ما زال أبيضاً وأنه عندما تدعو الحاجة فإن المسلم لأخيه المسلم كالبنيان يشد بعضه بعضاً . لم تكن الجنسيات ولا المناصب ولا اختلاف المشارب سبباً في أن لا نكون يداً واحدة على الاقل لمرة واحدة في دنيانا.

شكراً لكل من تطوع بقول أو فعل أو بفكرة أو حتى بقلبه .

Let’s Flee the Ship! Let’s Abandon the Hospital!

By now, I have no doubt that everyone has heard about Jeddah’s Black Wednesday. I am sure that everyone has read the reports, seen the pictures and watched the videos that tell of a tragedy which is unparalleled in our city’s history. The city was flooded by the heaviest rain it witness in 3 decades.

The official death count of 109 people including many children and women is a clear underestimation of the actual numbers according to many sources. Hundreds are missing and thousands of homes, stores and vehicles have been gravely damaged.

I’m not going to address the causes of this tragedy that could only be described as shameful and a disgrace in such a country and in such a city with this much potential and available resources. King Abdullah’s recently issued royal decree is everything we need.

If you open any local newspaper you will find at least 10 articles and 10 columnists discussing this incident. However, I want to voice out a personal opinion of mine as a physician that hasn’t been expressed yet by someone else, at least to my knowledge.

On Saturday, December 5, all house officers, residents and senior doctors are supposed to come back to work at KAUH. It’s true that the hospital has been evacuated and there is only a minimal number of patients in the wards and ICU units. However, that does not mean by anyway that we should not come to the hospital.

When reports surfaced that rain is expected during this weekend and on Saturday and Sunday, I’ve been getting calls from many fellow house officers, medical students and family members inquiring about the state of the hospital as I have worked for 2 days there after the crisis. Everyone is scared and fearful for his/her own life which is their given right but I noticed something else.

Many people have been trying to pressure me into not going to the hospital and into not going to my scheduled on-calls. Those include close friends and family members who kept telling me don’t you fear for your life? What if something happened? What if floods happened all over again and you were stuck in the hospital? This past Wednesday when I was on-call there was a small shower of rain there near the hospital at noon and immediately everyone was thinking of going back home and telling me to leave.

Being stuck at the hospital during that time of crisis is where I want to be. Staying at home and being idle doesn’t suit me. My family went crazy when I said I wanted to go to the hospital in the second day after the floods to offer any assistance I can. I would have gone but those I knew within the hospital told me that it’s not easily accessible so I didn’t but I so damn wanted to go.

It is during those times that we, as doctors, should be at hospitals and clinics. We shouldn’t be the first ones to flee the ship when it’s sinking! We shouldn’t abandon our workplaces. I have seen and heard of many fellow doctors who wouldn’t come to work for fear that something might happen using the excuse that there’s nothing to do at the moment. But when something happens and there’s a need for physicians, the hospital will be empty, unprepared and inaccessible because we, the ones who are supposed to help others, decided to help ourselves only. I’m not saying that it is somewhat understandable though.

I guess it’s just a personal choice depending on your own beliefs. You could be the one trying to save lives and to cure the ill albeit the danger or you could be the one fleeing the ship to safety and no one will blame you because it’s your right too.

KAU Medical School Newsletter

MSN Issue 1

Issue 1 is OUT NOW!

The first newsletter to be published by KAU Medical School is finally out. It was a dream that has finally come true after a year of planning and hard work. This newsletter is the result of the collaboration of many talented and exceptional individuals who didn’t spare neither time nor effort to make this thought become reality.

I can’t adequately describe the way I felt as students, house officers, residents and even consultants flipped through the pages with admiring eyes today as we distributed the newsletter throughout college and the university hospital. The feedback we have been getting is overwhelming to say the least. All the hours and sleepless nights invested in this project are paying off now.

This is only the beginning. I hope that the best is yet to come. I can’t imagine what it must feel like if a couple of years from now I came back to my medical school and saw the 20th or 30th issue being distributed.

Today, I sleep well with a proud heart!

All KAU Medical students and doctors are welcome to join us. Please send your contributions and information to our email address and we will contact you back.

Email: 

or more information regarding distribution and where you can find your copy visit our Facebook Group.

The E-version should be available within a few days on the KAU Faculty of Medicine website.

Please read the newsletter and spread the word. Share it with your friends and tell others. All comments and feedback are appreciated.

PS. I’m the Editor-in-Chief ;)

The On-Calls!

Unfortunately, I’m too sleepy and tired at the moment to write something eloquent!

My first on-call: It was on a Sunday and I was covering the Obstetrics ward meaning I stay to monitor the in-patinets’ conditions overnight and make sure that all new admissions are clerked and evaluated. I was assigned to the Labor and Delivery Unit at that time during my morning shift and it was a slow day so I had hope I’ll be seeing some action at night! However, the on-call night was running smoothly until 10 p.m. or so when my fellow on-call mate covering the L&D Unit decided to get us dinner. He brought mashawi, grilled goods, and immediately after the first bite I knew something was wrong! I had eaten a pine nut by mistake which they have used in the filling of the kebab! I’m allergic to all kinds of nuts and I tend to get even anaphylaxis which is the severest form of allergic reactions. I started vomiting right away and it was funny when I had to go to the obstetrics ward and tell the charge nurse there that their on-call doctor is heading to the ER to get some medications for himself! It was a crappy night in which I kept throwing up all night and feeling extremely unwell. Somehow, I managed to do my work too because in general, the wards aren’t very demanding.

My 2nd on-call: I was scheduled to cover the OB GYN ER service. The resident who was covering ER with me, Dr. Ibrahim, told me straight away: I’m jinxed and every on-call of mine turns out to be a disaster! We saw nearly 30 patients that night and I didn’t even enter the on-call room to rest except for once at 4:00 a.m. and I got paged at 4:05 exactly! Needless to say I only got to sleep around noon the next day! I’ve seen most of the OB GYN book that day!

We had ordered dinner and it was delivered at 10 p.m. but we couldn’t sit down to eat until midnight! Just before dawn at 5:00 a.m. there was only one patient left in the ER and we had some hope that finally we’ll get to rest. Dr. Ibrahim said, don’t get your hopes up! Dawn is the time when all the worst cases present! Just after he said those words we entered to see a patient who’s in labor. Abdominal examination indicated that the baby was in transverse lie. In PV examination we felt the baby’s fingers coming out from the vagina! We rushed her into the OR to perform emergency cesarean section. The last case of the day was of a patient coming in with PV bleeding and turned out to be a threatened abortion. I told the nurses that out of the kindness of my heart I will cover this case although officially I was off-duty!
It was a day to remember. Jaded as I was, I was also satisfied!

The 3rd on-call: It was a Thursday which is always worrying! This has proved that there is something wrong with me during on-calls that attracts all kinds of bad things! I was covering L&D Unit and during the time from 8 a.m. till 10 a.m. the next day there were 16 deliveries! 14 of which were normal spontaneous vaginal deliveries while two were of emergency c-sections. The 2nd c-section was due to cord prolapse in which the umbilical cord falls in advance of the baby’s head following rupture of the membranes which is an obstetric emergency. I was examining the patient’s abdomen when she said, I think my water broke! The nurse was cleaning her and did a PV exam after which she yelled, I can feel the cord! That was the quickest c-section I have ever seen. There was a case of shoulder dystocia of which the new resident handled really well . It’s when the baby’s shoulder gets stuck behind the symphysis pubis following delivery of the head. The baby made it out fine although he was severely cyanosed.

That was all nothing compared to the patient who was transferred to L&D just before dawn! She had severe pre-eclampsia (gestaional hypertension, a syndrome of complex pathophysiology unique to pregnancy) that resulted in placental abruption (premature separation of the placenta from the uterus) and lead to Intrauterine Fetal Death (IUFD) that got complicated by Disseminated Intravascular Coagulation (DIC). We transfused 10 units of cryoprecipitate, 6 units of Fresh Frozen Plasma and 2 units of Packed RBC’s. The patient required close monitoring and I was worried from such a responsibility. Alhamdillah the patient now is in a good condition.

There was a difficult moment around 6:oo a.m. when I had to tell the patient’s husband everything that had happened since he didn’t have a clue. IUFD is something that shouldn’t be experienced by anyone. The patient was crying and I admired how supportive the husband was although I could tell he was struggling with his own emotions too.

So what’s the point of this entry? I guess I just wanted to document those first on-calls. I know I’ll look back on them one day with a sense of nostalgia and I’ll have a smile on my face.

Hell, I’m even considering OB GYN as a future speciality now! I’m supposed to be on-call this upcoming Saturday covering L&D !

Saudi Arabia and Swine Flu: Current Status

This article will not be discussing Swine Flu/H1N1 virus in details but rather will address the current status of Swine Flu in Saudi Arabia in addition to some educational tips. For more information visit the Wikipedia 2009 Flu Pandemic Page or Center of Disease Control H1N1 Flu Page

First of all, let’s address the nomenclature. There have been a lot of debate that Swine Flu is not an accurate name to describe the condition caused by the H1N1 virus which is a mutation of four strains of influenza virus, two of which are endemic in pigs. However, for easier reference, Swine Flu in this article will be addressed as such.

There have been over 300 reported cases of Swine Flu in Saudi Arabia to this date with 4 unfortunate fatalities. There could be even more than 300 cases documented but the Ministry of Health have decided that it will not publish daily counts of the disease unless there are specific causes to do so because most of those cases are considered mild. However, the Ministry is keeping track of those numbers to monitor the progress of the disease.

The 4 deaths occurring in 3 different regions of the kingdom are sparking alarm. The first fatality was of a 30-year old Saudi man who passed away in Dammam, Eastern Province, despite hospitalization and treatment with antiviral medications. The second fatality also occurred in the Eastern Province and it was of an Indonesian expatriate who was 28 years old. The 3rd case was of Saudi male nurse in Al-Qasseem who was 32 years old. The last one to reported was in the Northern region of a 25-year old Saudi man.

These numbers are particularly alarming when we consider the fact that Hajj season is just around the corner. Pilgrimage usually takes place one time a year during Dhu al-Hijjah which the month of Hajj according to the Hijri Islamic calender. It is only 3 months away and plenty of those hoping to perform Hajj will be start visiting the holy cities starting from the month of Ramadan and afterwards.

The ministry of health has again confirmed that it has a clear strategy regarding this year’s Hajj season of which the cases of Swine Flu are expected to escalate. One of the first steps of control is that the Arab Health Ministries in their meeting in July in agreement with the Saudi Ministry of Health has decided to prevent certain vulnerable groups from performing Hajj this year including but not limited to: Men over 65 years of age, children under 12, patients with chronic debilitating diseases and pregnant women.

World Health Organization also has issued its recommendations for the Swine Flu vaccine that is expected to be available at the end of 2009, which prioritize the following groups to receive it: Household contacts of children younger than 6 months, Children and young people between the ages of 6 months and 24 years, Health-care workers and emergency medical service personnel and those with conditions that increase the risk of complications from influenza. It is also recommended to take the seasonal flu vaccine in addition.

There have been reports that hospitals in Makkah are not well equipped to deal with the large number of pilgrims expected this year, nearly 2 millions, with insufficient amounts of antiviral medications and seemingly absence of required vaccines. The Ministry of Health is currently working on this.

One of the main issues in Saudi Arabia is the lack of health education. There have not been much reports or public messages to increase the public;s knowledge of this condition, how to prevent it, when to seek medical attention and to rectify many of the misconceptions regarding this disease, one of which I have heard of myself; we can’t have swine flu here in Saudi Arabia because we don’t have pigs! More effort should be put in this area to educate the public especially now when Hajj season is near.

Now is Swine Flu a well staged play that is not actually worrisome? Some of you are well aware that the “regular” Influenza virus kills over thousands if not tens of thousands of people every winter each year. So why the worry from Swine Flu which its international death toll is not over a thousand yet? Well, the facts that its spread is more rapid than the usual strains in addition to the fatalities that happened to young men and women that were considered healthy otherwise. However, you do not need to panic.

Just take a quick look at the two links I have posted above and follow the required precautions and inshallah you’ll be just fine. May God keep you safe and healthy!

PS. You are free to eat pigs since its consumption does not lead to Swine Flu. However, it is Haram you know!

That One Patient

We all have our own personal defining moments. The moments after which we know that something has changed within us. They don’t always have to be overdramatic or life altering moments. They could simply be a few words said by a friend, a brief encounter with a perfect stranger or just a thought that sneaks up on you in a dark night when you’re all alone.

I remember the first clinical case I wanted to clerk back in 4th year. I just randomly entered the first room I laid my eyes on. She was a young girl in her mid twenties. Let’s call her Amal. Amal had been admitted following an unsuccessful suicide attempt. The details of the story are irrelevant but what I can tell you is this, she was broken. It was not a case that I could present to the doctor especially that it was complicated and I was very defective in my clinical skills. I stayed anyway.

I spent half an hour with her that did not have much to do with signs and symptoms. She was telling me her story when we were interrupted by her angry parent. I excused myself but just before I left, I could spot a look of gratitude in her eyes. She silently mouthed, “thank you,” to me. True, medically I did not do anything to help her. However, I like to believe that, in a way, I did help.

For months later, I could not get her out of my head. The sad look in her eyes and the heart wrenching voice of hers are still very vivid in my mind. I felt guilty that I could not offer her any substantial help. I was frustrated at the way we manage patients. These are humans, not disease to be treated and sent home.

I promised myself that never would I be that doctor who focuses on the physical and ignores everything else. Of course, as days passed by, I can sense my determination weakening sometimes with everything we face but all I have to do is remember Amal. My resolution becomes strong again.

I’m sure most of us have our own Amal; that one patient who left an imprint on our soul not to be obscured by the demands and stresses of our lives. Let us all try our best and work our hardest to become the physicians our Amals deserve. 

  • This is an article of mine that was featured in April’s issue of the monthly Words to Inspire Newsletter, a monthly handout printed by fellow medical students containing articles revolving around various life lessons aimed at medical students. I’m a regular writer and circulator (RBC’s we’re so dearingly called!) 
  • Words to Inspire Newsletter Facebook Group and Fanpage

Swine Flu: Reasons to Panic!

That’s the name of the lecture that is going to be given by Professor Tariq Madani tomorrow inshallah in KAUH’s main auditorium from 11:30 a.m. till 1.00 p.m. 

Swine Flu is probably the most talked about disease these days especially with thousands of people infected all over the world  and tens of unfortunate deaths. 

The Saudi Minisir of Health Dr. Abdullah Al-Rabeah has confirmed a few days ago that there are no recorded cases of Swin Flu in Saudi Arabia to this date. 

Professor Tariq Madani is a professor of Internal Medicine and Infectious Diseases with a remarkable curriculum vitae. He’s a personal adviser to His Excellency the Minister of Health since 2001. 

All health care workers are invited to attend. 

For more information on Swine Flu: Center of Disease Control and Prevention, Wikipedia

GCC7MedConf

GCC7 Med Students Conf. Logo

 

This Conference is an annual event which rotates around the GCC Countries. It began at the Arabian Gulf University, Bahrain in 2003 and to date has been held in the United Arab Emirates, Kuwait and Oman.

The conference is organized by students for students and aims to provide a forum to encourage and facilitate scientific exchange and research collaboration among students in the region and the world.

It is our pleasure to announce that “The 7th Scientific Conference for Medical Students in the GCC Countries” will be held in the Faculty of Medicine, King Abdul Aziz University (KAU), Jeddah  City, February 13-16, 2010.

This event will attract Medical and Science undergraduate and post-graduate students from all over the world and will include keynote presentations from renowned international scientists, oral and poster communications, workshops, a scientific exhibition and a variety of exciting social events.

The introductory meeting for students interested in becoming part of the organizing committee will be held next Wednesday, May 6, in the main auditorium of KAUH at 12:oo p.m.  This is the facebook event LINK.

The Official Website: http://www.gcc7medconf.org/ - Still under construction.

2nd Medical students’ Research Day

This Thursday, April 16th, I’ll be presenting one of my researches entitled, “Do We Need Career Counseling? Evaluating Medical Students’ Knowledge About Postgraduate Career Options” inshallah. It clearly touches on a very important topic that hasn’t been sufficiently studied in Saudi medical colleges yet. Hopefully this will shed a light on this issue and aid us in starting the process of fixing it. Our project, Career Counseling Center, is still under development and inshallah it will be fully running by next year. 

Poster